Dłuzniewska K, Krawiec G, Ewy-Skalska A, Pułka J
Probl Med Wieku Rozwoj. 1982;11a Suppl:101-8.
Energy and nutrients intake was evaluated in the groups of artificially fed infants, brought up in families and in "Homes for Small Children". The method of dietary survey and infants groups are described in previous paper (Dłuzniewska et al. 1980). For the purpose of accurate estimation of intakes by 24-hour recall method, the models od spoons, and food items as well as photographs of dishes are used. The individual inventory-weighing method in dietary observations in "Homes for Small Children" is regarded as giving the most accurate assessment of food intake. Mean daily energy intake expressed either as kcal (kJ) per child or per kg body weight is in families feeding higher than the recommended intakes (National Research Institute of Mother and Child), the difference beeing the greatest in infants aged 1-3 months. In the "Homes for Small Children" mean daily energy intakes if infants below 9 months is lower than recommended. A twofold variation is observed in intakes between individuals in the same age-group. Mean protein intake is in "Homes for Small Children" similar to recommended allowances, but higher in infants brought up in families; higher is also carbohydrate intake in this group of infants especially at 1 and 2 months. These date are confirmed by the finding of higher nutrient concentration and higher energy content of milk formulas, as prepared by mothers. The further observations of development and body composition of infants in groups, receiving milk formulas of low or high energy concentration may help in the evaluation of the effects of formulas concentration for present and future health of the surveyed children.
对在家庭和“儿童之家”人工喂养的婴儿组的能量和营养摄入情况进行了评估。膳食调查方法和婴儿组情况在之前的论文中已有描述(Dłuzniewska等人,1980年)。为通过24小时回顾法准确估算摄入量,使用了勺子模型、食物项目以及菜肴照片。“儿童之家”膳食观察中的个体盘存称重法被认为能最准确地评估食物摄入量。以每名儿童或每千克体重的千卡(千焦)表示的平均每日能量摄入量,在家庭喂养中高于推荐摄入量(国家妇幼研究所),1至3个月大的婴儿差异最大。在“儿童之家”,9个月以下婴儿的平均每日能量摄入量低于推荐值。同一年龄组个体之间的摄入量存在两倍的差异。“儿童之家”的平均蛋白质摄入量与推荐摄入量相似,但在家庭中长大的婴儿蛋白质摄入量更高;这组婴儿的碳水化合物摄入量也更高,尤其是在1个月和2个月时。母亲们准备的婴儿配方奶粉中营养成分浓度更高、能量含量更高,这一发现证实了上述数据。对接受低能量浓度或高能量浓度婴儿配方奶粉的婴儿组的发育和身体成分进行进一步观察,可能有助于评估配方奶粉浓度对受调查儿童当前和未来健康的影响。